Individual provider · Type 1 NPI

Nakita Shanay Fordham

General Practice Dentistry · Atlanta, GA

NPI number 1801728472 Active

Practice location

341 Ponce De Leon Ave NE
Atlanta, GA 30308-2012

Call (404) 616-0414 Map

Mailing address

101 Athens Way Apt 474
Nashville, TN 37228-1666

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X1223G0001X (GA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1801728472

Nakita Shanay Fordham's National Provider Identifier is 1801728472, issued on May 30, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Atlanta, GA. The record was last updated on May 30, 2026.